Evidence map›Paper›PMID 34586088›Full record

ArticleAIDS (London, England)2022

Evaluation of HIV-1 reservoir size and broadly neutralizing antibody susceptibility in acute antiretroviral therapy-treated individuals.

Brian Moldt, Huldrych F Günthard, Kimberly A Workowski, Susan J Little, Joseph J Eron, Edgar T Overton, Clara Lehmann, Casper Rokx, Michael J Kozal, Rajesh T Gandhi and 13 more

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 6 institutions in 5 countries.

Brian MoldtGilead Sciences, Inc., California, USA.
Huldrych F GünthardDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich.
Kimberly A WorkowskiDepartment of Medicine, Division of Infectious Diseases, Emory University, Atlanta, Georgia.
Susan J LittleDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California.
Joseph J EronDivision of Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, North Carolina.
Edgar T OvertonDivision of Infectious Diseases, University of Alabama at Birmingham School of Medicine, Alabama, USA.
Clara LehmannDepartment I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne.
Casper RokxDepartment of Internal Medicine, and.
Michael J KozalYale School of Medicine, New Haven, Connecticut.
Rajesh T GandhiMassachusetts General Hospital and Harvard Medical School, Cambridge, Massachusett, USA.
Dominique L BraunDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich.
Aiyappa ParvangadaGilead Sciences, Inc., California, USA.
Jiani LiGilead Sciences, Inc., California, USA.
Ross MartinGilead Sciences, Inc., California, USA.
Lisa SelzerGilead Sciences, Inc., California, USA.
Stephanie CoxGilead Sciences, Inc., California, USA.
Nicolas MargotGilead Sciences, Inc., California, USA.
Hui LiuGilead Sciences, Inc., California, USA.
Debbie SlamowitzGilead Sciences, Inc., California, USA.
Tariro MakadzangeGilead Sciences, Inc., California, USA.
Sean E CollinsGilead Sciences, Inc., California, USA.
Romas GeleziunasGilead Sciences, Inc., California, USA.
Christian CallebautGilead Sciences, Inc., California, USA.
Apple (Israel) · ILGilead Sciences (United States) · USUniversity Hospital of Zurich · CHUniversity of California San Diego · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Transmission ProbabilityP01AI074621 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RICHMAN, DOUGLAS D · 2008 to 2012
$23.1M
Primary Infection Resource Consortium (PIRC)R24AI106039 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LITTLE, SUSAN JANET · 2013 to 2021
$23.1M
NIAID NIH HHS P01 AI074621NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI060354NIAID NIH HHS R24 AI106039
6 · The paper itself

Abstract

objectivePersistence of the viral reservoir is the main barrier to curing HIV. Initiation of ART during acute HIV infection can limit the size and diversity of the reservoir. In depth characterization of the reservoir in individuals who initiate ART during acute infection will be critical for clinical trial design and cure strategies.

methodsFour cohorts with participants who initiated ART during acute infection or during chronic infection were enrolled in a cross-sectional, noninterventional study. Viral reservoir was evaluated by the Intact Proviral DNA Assay (IPDA), the Total HIV DNA Assay (THDA) and the Quantitative Viral Outgrowth Assay (QVOA). Viral diversity and susceptibility to V3-glycan bNAbs were determined by genotyping of the viral envelope gene.

resultsParticipants who initiated ART during the acute Fiebig I-IV stages had lower level of total HIV DNA than participants who initiated ART during chronic infection whereas no difference was observed in intact HIV DNA or outgrowth virus. Participants who initiated ART during Fiebig I-IV also had lower viral diversity and appeared to have higher susceptibility to bNAbs than participants initiating ART during chronic infection.

conclusionIndividuals initiating ART during Fiebig I-IV had small viral reservoirs, low viral diversity, and high susceptibility to bNAbs, and would be an optimal target population for proof-of-concept HIV cure trials.

Indexed as

HIV-1HIV InfectionsAnti-Retroviral AgentsBroadly Neutralizing AntibodiesCross-Sectional StudiesHumansViral LoadAnti-Retroviral AgentsBroadly Neutralizing Antibodies

Identifiers

PMID34586088
PMCPMC12246808
OpenAlexW3204006632

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.